Cardiomegaly with left atrium enlargement

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Complaining of right side upper back pain since 3 days, not associated with nausea, sweating or exertional dyspnea, no history of trauma.

Patient Data

Age: 55 years
Gender: Male

Chest

x-ray

Mild to moderate cardiomegaly with the sign of double density sign and a marked increase in the carina angle? Left atrium enlargement.

Unfolded aorta.

Mild mediastinum widening.

Dorsal spine

x-ray

Minimal to mild degenerative changes in the dorsal spine.

Marked decreased disc space of dorsal vertebra 5-6.

Case Discussion

This patient was complaining of dorsal pain, by chance, cardiomegaly is seen.

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